Doctor Name: | MRS. CARLA PAULINE WOOD |
NPI Number: | 1669431607 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | A0501004 |
Business Practice Address: | 2904 Arkansas Blvd Texarkana, AR - 718542536 |
Business Phone Number: | 8707734655 |
Business Fax Number: | 8707724650 |
Mailing Address: | 2904 Arkansas Blvd, TEXARKANA |
State: | AR |
Postal Code: | 718542536 |
Phone Number: | 8707734655 |
Fax Number: | 8707724650 |
NPI Enumeration Date: | 03/20/2006 |
NPI Last Update Date: | 04/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | A0501004 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |